The purpose of this study was to effectively purify U-contaminated soil-washing effluent using a precipitation/distillation process, reuse the purified water, and self-dispose of the generated solid. The U ions in the effluent were easily removed as sediments by neutralization, and the metal sediments and suspended soils were flocculated–precipitated by polyacrylamide (PAM). The precipitate generated through the flocculation–precipitation process was completely separated into solid–liquid phases by membrane filtration (pore size < 45 μm), and Ca2+ and Mg2+ ions remaining in the effluent were removed by distillation. Even if neutralized or distilled effluent was reused for soil washing, soil decontamination performance was maintained. PAM, an organic component of the filter cake, was successfully removed by thermal decomposition without loss of metal deposits including U. The uranium concentration of the residual solids after distillation is confirmed to be less than 1 Bq·g−1, so it is expected that the self-disposal of the residual solids is possible. Therefore, the treatment method of U-contaminated soil-washing effluent using the precipitation/distillation process presented in this study can be used to effectively treat the washing waste of U-contaminated soil and self-dispose of the generated solids.